盆底肌肉训练对全子宫切除患者家庭功能的影响

The effect of pelvic floor muscle training on family function among patients with hysterectomy

目的探讨盆底肌肉训练对家庭功能的影响,为子宫切除患者改善家庭功能提供依据。方法便利选取2011年5月~2015年5月在南通大学附属医院和南通市妇幼保健院同期符合入选条件的全子宫切除患者183例随机分为对照组和试验组,对照组按常规治疗护理并跟踪回访家庭功能,试验组在常规治疗护理基础上进行为期一年的盆底肌肉训练并跟踪回访家庭功能,分别于手术前、术后6、9、12个月填写家庭功能评定量表并收回。结果全子宫切除术后6个月时两组家庭功能评定分值最高且术后不同时期家庭功能评定只有2个因子(沟通和情感反应)无统计学差异,其余各因子两组之间比较差异有统计学意义(P﹤0.05)。结论盆底肌肉训练能有效改善家庭功能,促进婚姻家庭稳定和谐。

Objective To investigate the effects of pelvic floor muscle training on family functioning for hysterectomy patients improve family function to provide evidence. Methods From May 2011 to May 2015 in the convenience of Hospital Affiliated to Nantong University and Nantong maternal and child health hospital eligible patients with 183 cases of hysterectomy were randomly divided into control and experimental groups. The control group received conventional treatment and was followed up visits family function. The test group was conduceted for one year of pelvic floor muscle training, respectively, in the day before surgery, 6, 9, 12 months after the operation to fill in family assessment scale, which on the basis of routine treatment. Results The family function scores of the two groups were the highest after 6 month of hysterectomy. There were significant differences between the two groups in different periods of family function scores after surgery （P 〈 0.05）, except for the two factors of communication and emotional reaction. Conclusion Pelvic floor muscle training can improve the family function effectively, and promote the stability and harmony of family.